An association between aspiration and tracheostomy has been documented. Lack of dysphagia management may increase hospital LOS and costs. Use of the Passy-Muir valve as a diagnostic and rehabilitation strategy and the independent research regarding effects of the Passy-Muir valve on swallow and reduction of aspiration are presented. It is recommended that you complete Application of Passy-Muir Swallowing and Speaking Valves prior to registering for this course. After completing this course, you will be able to:

Identify the effects of a tracheostomy on the functions of the upper aerodigestive tract.

Review the role of cuffs on tracheostomy tubes, and their capacity for airway protection from aspiration.

Describe the functions and the role of the Passy-Muir “closed-position” speaking valve in evaluation and rehabilitation of swallowing function.

Discuss patient selection criteria for use of the Passy-Muir valve and application guidelines.